MS. SUSAN E GROH (NPI# 1851399562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851399562 |
| Entity Type | Individual |
| Full Name | MS. SUSAN E GROH |
| Credential | RN |
| Practice Address |
220 Oakside Ln Canton GA 30114-6418 |
| Mailing Address |
Po Box 307 Cumming GA 30028-0307 |
| Practice Telephone | 6788071050 |
| Practice Fax Number | 6788071055 |
| Mailing Telephone | 6788071050 |
| Mailing Fax Number | 6788071055 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN093382 | GA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GA REG NURSE LICENSE # | RN093382 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750360848 | Susan Groh | Family Medicine | 2916 Frankel Blvd, Merrick, NY 11566-5434 | 2006-01-17 |
| Street Address |
220 OAKSIDE LN |
| City | CANTON |
| State | GA |
| Zip Code | 30114-6418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063419422 | Georgia Highlands Medical Services, Inc. | Clinic/Center | 220 Oakside Ln, Canton, GA 30114-6413 | 2005-06-30 |
| 1801398227 | Amanda Gabriella Mor | Social Worker | 220 Oakside Ln, Canton, GA 30114-6413 | 2018-03-01 |
| 1003132911 | Uma T Daya | Physician Assistant | 220 Oakside Ln, Canton, GA 30114-6413 | 2010-04-16 |
| 1497932040 | Alice Jyothi Philip | Family Medicine | 220 Oakside Ln, Canton, GA 30114-6413 | 2008-01-25 |
| 1326221698 | Paola Juliana Suarez | Pediatrics | 220 Oakside Ln, Canton, GA 30114-6413 | 2007-12-10 |
| 1104803832 | Richard F Hamaker | Physician Assistant | 220 Oakside Ln, Canton, GA 30114-6413 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366697989 | Penny Blandin | Registered Nurse | 80 Sh 310 Ste 2, Canton, NY 13617-1436 | 2008-11-24 |
| 1902369242 | Michele Lee Earle | Registered Nurse | 80 State Highway 310, Canton, NY 13617-1436 | 2019-04-12 |
| 1306375050 | Kimberly Eve Justice | Registered Nurse | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2017-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255967071 | Simran Kaur | Registered Nurse | 2252 Nellie Dr, Augusta, GA 30906-8964 | 2020-03-13 |
| 1124651914 | Gyneth Springs Givens | Registered Nurse | 30 Glen Ridge Ct, Covington, GA 30014-6080 | 2020-02-19 |
| 1760021448 | Kenneth Unuovurhaye | Registered Nurse | 2073 Corners Circle Trce, Lithonia, GA 30058-7993 | 2019-12-30 |
| 1063069391 | Mark Benson | Registered Nurse | 4176 Chatford Cv, Tucker, GA 30084-7907 | 2019-08-21 |
| 1508325242 | Yashate Kinkia Pendergrass | Registered Nurse | 2159 Grove Landing Way, Grovetown, GA 30813-7017 | 2019-03-12 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1144701855 | Nadiyah Gardner | Registered Nurse | 1790 Mulkey Rd Ste 3b, Austell, GA 30106-1122 | 2018-08-22 |
| 1205324357 | Lona M Sims | Registered Nurse | 2113 Defoors Ferry Rd Nw Apt F5, Atlanta, GA 30318-2344 | 2018-04-24 |
| 1881108884 | Carol Lee Hadley | Registered Nurse | 10 Park Place South Se Ste 445, Atlanta, GA 30303-2913 | 2017-11-29 |
| 1164940235 | De Advance Home Healthcare Services Inc | Registered Nurse | 932 Landon Dr, Marietta, GA 30064-6421 | 2017-09-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.